Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.03 / $170.03 / $403.88	Facility		$170.03	$170.03	$403.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $214.77 / $307.20	Professional		$163.83	$214.77	$307.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $501.24 / $1,313.97	Facility		$358.03	$501.24	$1,313.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.87 / $297.70 / $571.58	Professional		$190.87	$297.70	$571.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.33 / $358.03 / $701.74	Facility		$304.33	$358.03	$701.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.33 / $304.33 / $304.33	Professional		$304.33	$304.33	$304.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $453.75	Professional		$165.76	$227.07	$453.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.10 / $358.03 / $650.48	Professional		$272.10	$358.03	$650.48
United Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $178.62 / $294.69	Professional		$119.08	$178.62	$294.69